Individual
DR. SMITH TEGUONOR MAJEMITE OMONUWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 703-9260
(601) 703-4050
Mailing address
PO BOX 5183, MERIDIAN, MS 39302-5183
(601) 703-9506
(601) 703-3264
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19971
MS
207Q00000X
Family Medicine Physician
19971
MS
Other
Enumeration date
12/08/2005
Last updated
10/10/2007
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